Provider Demographics
NPI:1407465230
Name:INTEGRITY MENTAL RESOURCES CORP
Entity Type:Organization
Organization Name:INTEGRITY MENTAL RESOURCES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-443-9749
Mailing Address - Street 1:306 S 10TH ST STE 340
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-5602
Mailing Address - Country:US
Mailing Address - Phone:863-438-7640
Mailing Address - Fax:863-438-7739
Practice Address - Street 1:306 S 10TH ST STE 340
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-5602
Practice Address - Country:US
Practice Address - Phone:786-443-9749
Practice Address - Fax:863-438-7739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-28
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health